Guidance is compiled and interpreted by professional pilots and physicians at FlightPhysical.com from the 2014 AME Guidepages 26-41, FAA and FDA web data (www.FAA.gov & www.FDA.gov), instructions specified in the Aeronautical Information Manual, Federal Air Surgeon Bulletins from 1999-2015, and 14 CFR Part 61 and Part 67 (the FARs).

- FlightPhysical.com Notice -

Below is a practice form for review and information in advance of the complex process of completing your FAA Form 8500-8 through MedXPress in advance of your AME appointment for your flight physical. This is a simulated form intended to reflect the content and spirit of the actual FAA form as closely as possible. Nothing on this page will be transmitted anywhere--instructions are for pilot applicant understanding prior to submitting the actual FAA Form 8500-8 which will be irrevocable except through your actual AME. When ready, you must proceed to the real FAA MedXpress Form prior to your actual FlightPhysical with an AME.

- FAA Warning - (This is a practice form - no fines or imprisonment at FlightPhysical.com)

Whoever in any matter within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies, conceals, or covers up by any trick, scheme, or device a material fact, or who makes any false, fictitious or fraudulent statements or representations, or entry, may be fined up to $250,000 or imprisoned not more than 5 years, or both" (Title 18 U.S. Code.
Secs. 1001; 3571).

18. Medical History - HAVE YOU EVER IN YOUR LIFE BEEN DIAGNOSED WITH, HAD, OR DO YOU PRESENTLY HAVE ANY OF THE FOLLOWING?
Answer "yes" or "no" for every condition listed below (All "yes" answers require a comment. For each "yes" you will then need to click "Add Comments" that appears to add or edit a comment).

History of (1) any arrest(s) and/or conviction(s) involving driving while intoxicated by, while impaired by, or while under the influence of alcohol or a drug; or
(2) history of any arrest(s), and/or conviction(s), and/or administrative action(s) involving an offense(s) which resulted in the denial, suspension, cancellation, or revocation of driving privileges
or which resulted in attendance at an educational or a rehabilitation program.

20. Applicant's National Driver Register and Certifying Declarations:
I hereby authorize the National Driver Register (NDR), through a designated State Department of Motor Vehicles, to furnish to the FAA information pertaining to my driving record.
This consent constitutes authorization for a single access to the information contained in the NDR to verify information provided in this application.
Upon my request, the FAA shall make the information received from the NDR, if any, available for my review and written comment. Authority: 23 U.S. Code 401, Note.

NOTE: ALL persons using this form must sign it. NDR consent, however, does not apply unless this form is used as an application for Medical Certificate or Medical Certificate and Student Pilot Certificate.

I hereby certify that all statements and answers provided by me on this application form are complete and true to the best of my knowledge, and I agree that they are to be considered part of the basis for issuance of any FAA certificate to me.
I have also read and understand the Privacy Act statement that accompanies this form.
YesNo

- Save and Review Options -

You can save or review your application here but it is not complete until you enter your password and press the "Submit" button at the bottom of this page.

I'm not done yet. Save my application so I can finish it later.

FlightPhysical.com note: This preserves your work without officially submitting form.

Show me any errors I have made on my application.

FlightPhysical.com note: This button also saves your work and in addition will attempt to validate your entries against FAA algorithms (without submitting)

.

- Final Submission and Password Step -

I understand that by entering my password, I certify that I agree with the National Driver Register and Certifying Declarations. I further understand that I will not be able to change my application after I submit the information (only your AME will be able to change the application at the time of the physical exam).I'm done. Send my application to the FAA. Password:

Commentary:

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- FlightPhysical.com Reminder -

The above example was a practice form to faciliate review and for your information only. This is a simulated form meant to reflect the content and spirit of the actual FAA form as closely as possible. Material is reproduced as accurately as possible to allow applicants to prepare for actual application with advanced understanding of these complex requirements. Nothing on this page will be transmitted anywhere--instructions are for pilot applicant understanding prior to submitting the actual FAA Form 8500-8 which will be irrevocable except through your actual AME. When ready, you must proceed to the real FAA MedXpress Form prior to your actual FlightPhysical with an AME.

- FAA Warning - (The above was a practice form - no fines or imprisonment at FlightPhysical.com)

The FAA Warns: Whoever in any matter within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies, conceals, or covers up by any trick, scheme, or device a material fact, or who makes any false, fictitious or fraudulent statements or representations, or entry, may be fined up to $250,000 or imprisoned not more than 5 years, or both" (Title 18 U.S. Code.
Secs. 1001; 3571).

If you're tired of all of this talk about jail and fraud and are done with e-copies for today, you can see the paper version of the FAA Form 8500-8 from 2008. Of course, you'll still have to come back later and submit electronically through MedXpress, but as of 2014 the item numbers still match. Some pilots find the paper version a useful reference.

Reminder: use FlightPhysical.com to familiarize yourself with aviation medical regulations and guidelines, but always discuss your specific situation with one or more AMEs before dedicating resources toward expensive clinical workups. Find an AME now